<div class="box-header">
    <span class="leicon-48 leicon-48-i9"></span>
    <h3>
        <a href="javascript:void()" class="link grayColor grayHover">LIÊN HỆ</a>
    </h3>
</div>
<div class="clearfix"></div>

<div class="blockHeight5"></div>
<img class="img-responsive" src="images/line-2.png" />

<div class="box-content">
    <h4 style="float: left;" class="blueColor">
        Mọi thắc mắc xin gửi:
    </h4>
    <button type="button" class="btn btn-lestyle-1" tabindex="4"
     style="float: right; margin-top: 5px; padding: 6px 24px;">
     GỬI
    </button>
    <div class="clearfix"></div>
    <div class="blockHeight10"></div>

    <form role="form">
        <div class="form-group">
            <input type="email" class="form-control" placeholder="Email" tabindex="1">
        </div>
        <div class="form-group">
            <input type="type" class="form-control" placeholder="Số điện thoại" tabindex="2">
        </div>
        <div class="form-group">
            <textarea class="form-control" rows="3"
             placeholder="Nội dung" style="resize:none" tabindex="3"></textarea>
        </div>
    </form>

</div>